| No | Nama | Cabor | Asal | No. Pelatih Lv 2 |
| 1 | FARID ALFAHSYADA, S.Tr.Or | RUGBY | JAWA TIMUR | L2005871 |
| 2 | WAHYU RENANDI AJI, S.Tr.Or | SEPAK BOLA | JAWA TIMUR | L2007986 |
| 3 | MUCH SHODIK ANSORI | WUSHU SANDA | JAWA TIMUR | L2008894 |
| 4 | Metana Papua Yudha, S.Pd. | BASKET | JAWA TIMUR | L2003960 |
| 5 | Mario Akmal Hafiz Pratama | TENIS LAPANGAN | JAWA TIMUR | L2008906 |
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